neuroanatomy Neuroanatomy is the study of the structure and organization of the nervous system. In contrast to animals with radial symmetry, whose nervous system consists of a distributed network of cells, animals with bilateral symmetry have segregated, defin ...

, the optic nerve, also known as the second cranial nerve, cranial nerve II, or simply CN II, is a paired

cranial nerve Cranial nerves are the nerves that emerge directly from the brain (including the brainstem), of which there are conventionally considered twelve pairs. Cranial nerves relay information between the brain and parts of the body, primarily to and f ...

that transmits

visual The visual system comprises the sensory organ (the eye) and parts of the central nervous system (the retina containing photoreceptor cells, the optic nerve, the optic tract and the visual cortex) which gives organisms the sense of sight ...

information from the

retina The retina (from la, rete "net") is the innermost, light-sensitive layer of tissue of the eye of most vertebrates and some molluscs. The optics of the eye create a focused two-dimensional image of the visual world on the retina, which then ...

to the

brain The brain is an organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. It consists of nervous tissue and is typically located in the head ( cephalization), usually near organs for special ...

. In humans, the optic nerve is derived from optic stalks during the seventh week of development and is composed of

retinal ganglion cell A retinal ganglion cell (RGC) is a type of neuron located near the inner surface (the ganglion cell layer) of the retina of the eye. It receives visual information from photoreceptors via two intermediate neuron types: bipolar cells and reti ...

axons and

glial cell Glia, also called glial cells (gliocytes) or neuroglia, are non-neuronal cells in the central nervous system (brain and spinal cord) and the peripheral nervous system that do not produce electrical impulses. They maintain homeostasis, form mye ...

s; it extends from the

optic disc The optic disc or optic nerve head is the point of exit for ganglion cell axons leaving the eye. Because there are no rods or cones overlying the optic disc, it corresponds to a small blind spot in each eye. The ganglion cell axons form th ...

to the

optic chiasma In neuroanatomy, the optic chiasm, or optic chiasma (; , ), is the part of the brain where the optic nerves cross. It is located at the bottom of the brain immediately inferior to the hypothalamus. The optic chiasm is found in all vertebrate ...

and continues as the

optic tract In neuroanatomy, the optic tract () is a part of the visual system in the brain. It is a continuation of the optic nerve that relays information from the optic chiasm to the ipsilateral lateral geniculate nucleus (LGN), pretectal nuclei, and supe ...

to the

lateral geniculate nucleus In neuroanatomy, the lateral geniculate nucleus (LGN; also called the lateral geniculate body or lateral geniculate complex) is a structure in the thalamus and a key component of the mammalian visual pathway. It is a small, ovoid, ventral proj ...

, pretectal nuclei, and

superior colliculus In neuroanatomy, the superior colliculus () is a structure lying on the roof of the mammalian midbrain. In non-mammalian vertebrates, the homologous structure is known as the optic tectum, or optic lobe. The adjective form '' tectal'' is commo ...

Structure

The optic nerve has been classified as the second of twelve paired

cranial nerves Cranial nerves are the nerves that emerge directly from the brain (including the brainstem), of which there are conventionally considered twelve pairs. Cranial nerves relay information between the brain and parts of the body, primarily to and ...

, but it is technically part of the

central nervous system The central nervous system (CNS) is the part of the nervous system consisting primarily of the brain and spinal cord. The CNS is so named because the brain integrates the received information and coordinates and influences the activity of all p ...

, rather than the

peripheral nervous system The peripheral nervous system (PNS) is one of two components that make up the nervous system of bilateral animals, with the other part being the central nervous system (CNS). The PNS consists of nerves and ganglia, which lie outside the brain a ...

because it is derived from an out-pouching of the

diencephalon The diencephalon (or interbrain) is a division of the forebrain (embryonic ''prosencephalon''). It is situated between the telencephalon and the midbrain The midbrain or mesencephalon is the forward-most portion of the brainstem and is asso ...

( optic stalks) during embryonic development. As a consequence, the fibers of the optic nerve are covered with

myelin Myelin is a lipid-rich material that surrounds nerve cell axons (the nervous system's "wires") to insulate them and increase the rate at which electrical impulses (called action potentials) are passed along the axon. The myelinated axon can be l ...

produced by

oligodendrocyte Oligodendrocytes (), or oligodendroglia, are a type of neuroglia whose main functions are to provide support and insulation to axons in the central nervous system of jawed vertebrates, equivalent to the function performed by Schwann cells in th ...

s, rather than

Schwann cell Schwann cells or neurolemmocytes (named after German physiologist Theodor Schwann) are the principal glia of the peripheral nervous system (PNS). Glial cells function to support neurons and in the PNS, also include satellite cells, olfactory ...

s of the peripheral nervous system, and are encased within the

meninges In anatomy, the meninges (, ''singular:'' meninx ( or ), ) are the three membranes that envelop the brain and spinal cord. In mammals, the meninges are the dura mater, the arachnoid mater, and the pia mater. Cerebrospinal fluid is located in ...

Peripheral neuropathies Peripheral neuropathy, often shortened to neuropathy, is a general term describing disease affecting the peripheral nerves, meaning nerves beyond the brain and spinal cord. Damage to peripheral nerves may impair sensation, movement, gland, or or ...

Guillain–Barré syndrome Guillain–Barré syndrome (GBS) is a rapid-onset muscle weakness caused by the immune system damaging the peripheral nervous system. Typically, both sides of the body are involved, and the initial symptoms are changes in sensation or pain often ...

do not affect the optic nerve. However, most typically, the optic nerve is grouped with the other eleven cranial nerves and is considered to be part of the peripheral nervous system. The optic nerve is ensheathed in all three meningeal layers (

dura Dura may also refer to: Đura such as, for example, Đura Bajalović Geography * Dura language, a critically endangered language of Nepal * Dura, Africa, an ancient city and former bishopric, now a Catholic titular see * Dura-Europos, an ancient c ...

arachnoid Arachnoid may refer to: * Relating to arachnids * Arachnoid (astrogeology), a geological structure found only on the planet Venus * Arachnoid (botany), referring to organs with a cobwebby exterior appearance * Arachnoid granulation, small protr ...

, and

pia mater Pia mater ( or ),Entry "pia mater"
in
epineurium The epineurium is the outermost layer of dense irregular connective tissue surrounding a peripheral nerve. It usually surrounds multiple nerve fascicles as well as blood vessels which supply the nerve. Smaller branches of these blood vessels penet ...

perineurium The perineurium is a protective sheath that surrounds a nerve fascicle. This bundles together axons targeting the same anatomical location. The perineurium is composed from fibroblasts. In the peripheral nervous system, the myelin sheath of each ...

, and

endoneurium The endoneurium (also called endoneurial channel, endoneurial sheath, endoneurial tube, or Henle's sheath) is a layer of delicate connective tissue around the myelin sheath of each myelinated nerve fiber in the peripheral nervous system. Its comp ...

found in peripheral nerves. Fiber tracts of the mammalian central nervous system have only limited regenerative capabilities compared to the peripheral nervous system. Therefore, in most mammals, optic nerve damage results in irreversible

blindness Visual impairment, also known as vision impairment, is a medical definition primarily measured based on an individual's better eye visual acuity; in the absence of treatment such as correctable eyewear, assistive devices, and medical treatment� ...

. The fibers from the

run along the optic nerve to nine primary visual nuclei in the brain, from which a major relay inputs into the

primary visual cortex The visual cortex of the brain is the area of the cerebral cortex that processes visual information. It is located in the occipital lobe. Sensory input originating from the eyes travels through the lateral geniculate nucleus in the thalamus and ...

The optic nerve is composed of

axons and

glia Glia, also called glial cells (gliocytes) or neuroglia, are non-neuronal cells in the central nervous system (brain and spinal cord) and the peripheral nervous system that do not produce electrical impulses. They maintain homeostasis, form mye ...

. Each human optic nerve contains between 770,000 and 1.7 million nerve fibers, which are axons of the retinal ganglion cells of one retina. In the

fovea Fovea () (Latin for "pit"; plural foveae ) is a term in anatomy. It refers to a pit or depression in a structure. Human anatomy * Fovea centralis of the retina * Fovea buccalis or Dimple * Fovea of the femoral head *Trochlear fovea of the f ...

, which has high acuity, these ganglion cells connect to as few as 5

photoreceptor cell A photoreceptor cell is a specialized type of neuroepithelial cell found in the retina that is capable of visual phototransduction. The great biological importance of photoreceptors is that they convert light (visible electromagnetic radiati ...

s; in other areas of the retina, they connect to thousands of photoreceptors. The optic nerve leaves the

orbit In celestial mechanics, an orbit is the curved trajectory of an object such as the trajectory of a planet around a star, or of a natural satellite around a planet, or of an artificial satellite around an object or position in space such a ...

(eye socket) via the optic canal, running postero-medially towards the

optic chiasm In neuroanatomy, the optic chiasm, or optic chiasma (; , ), is the part of the brain where the optic nerves cross. It is located at the bottom of the brain immediately inferior to the hypothalamus. The optic chiasm is found in all vertebrate ...

, where there is a partial decussation (crossing) of fibers from the temporal

visual fields The visual field is the "spatial array of visual sensations available to observation in introspectionist psychological experiments". Or simply, visual field can be defined as the entire area that can be seen when an eye is fixed straight at a point ...

(the nasal hemi-retina) of both eyes. The proportion of decussating fibers varies between species, and is correlated with the degree of

binocular vision In biology, binocular vision is a type of vision in which an animal has two eyes capable of facing the same direction to perceive a single three-dimensional image of its surroundings. Binocular vision does not typically refer to vision where an ...

enjoyed by a species. Most of the

axon An axon (from Greek ἄξων ''áxōn'', axis), or nerve fiber (or nerve fibre: see spelling differences), is a long, slender projection of a nerve cell, or neuron, in vertebrates, that typically conducts electrical impulses known as action ...

s of the optic nerve terminate in the

from where information is relayed to the

visual cortex The visual cortex of the brain is the area of the cerebral cortex that processes visual information. It is located in the occipital lobe. Sensory input originating from the eyes travels through the lateral geniculate nucleus in the thalamus and ...

, while other axons terminate in the

pretectal area In neuroanatomy, the pretectal area, or pretectum, is a midbrain structure composed of seven nuclei and comprises part of the subcortical visual system. Through reciprocal bilateral projections from the retina, it is involved primarily in mediat ...

and are involved in reflexive

eye movements Eye movement includes the voluntary or involuntary movement of the eyes. Eye movements are used by a number of organisms (e.g. primates, rodents, flies, birds, fish, cats, crabs, octopus) to fixate, inspect and track visual objects of inte ...

. Other axons terminate in the

suprachiasmatic nucleus The suprachiasmatic nucleus or nuclei (SCN) is a tiny region of the brain in the hypothalamus, situated directly above the optic chiasm. It is responsible for controlling circadian rhythms. The neuronal and hormonal activities it generates regul ...

and are involved in regulating the sleep-wake cycle. Its diameter increases from about 1.6 mm within the eye to 3.5 mm in the orbit to 4.5 mm within the cranial space. The optic nerve component lengths are 1 mm in the globe, 24 mm in the orbit, 9 mm in the optic canal, and 16 mm in the cranial space before joining the optic chiasm. There, partial decussation occurs, and about 53% of the fibers cross to form the optic tracts. Most of these fibers terminate in the lateral geniculate body. Based on this anatomy, the optic nerve may be divided in the four parts as indicated in the image at the top of this section (this view is from above as if you were looking into the orbit after the top of the skull had been removed): 1. the optic head (which is where it begins in the eyeball (globe) with fibers from the retina; 2. orbital part (which is the part within the orbit). 3. intracanicular part (which is the part within a bony canal known as the optic canal); and, 4. cranial part (the part within the cranial cavity, which ends at the optic chiasm). From the lateral geniculate body, fibers of the

optic radiation In neuroanatomy, the optic radiation (also known as the geniculocalcarine tract, the geniculostriate pathway, and posterior thalamic radiation) are axons from the neurons in the lateral geniculate nucleus to the primary visual cortex. The optic ...

pass to the

in the

occipital lobe The occipital lobe is one of the four major lobes of the cerebral cortex in the brain of mammals. The name derives from its position at the back of the head, from the Latin ''ob'', "behind", and ''caput'', "head". The occipital lobe is the v ...

of the brain. In more specific terms, fibers carrying information from the contralateral superior visual field traverse Meyer's loop to terminate in the lingual gyrus below the calcarine fissure in the occipital lobe, and fibers carrying information from the contralateral inferior visual field terminate more superiorly, to the

cuneus The cuneus (; plural cunei) is a smaller lobe in the occipital lobe of the brain. The cuneus is bounded anteriorly by the parieto-occipital sulcus and inferiorly by the calcarine sulcus. Function The cuneus ( Brodmann area 17) receives visual ...

Function

The optic nerve transmits all visual information including

brightness Brightness is an attribute of visual perception in which a source appears to be radiating or reflecting light. In other words, brightness is the perception elicited by the luminance of a visual target. The perception is not linear to luminance, ...

perception, color perception and contrast (

visual acuity Visual acuity (VA) commonly refers to the clarity of vision, but technically rates an examinee's ability to recognize small details with precision. Visual acuity is dependent on optical and neural factors, i.e. (1) the sharpness of the retinal ...

). It also conducts the visual impulses that are responsible for two important neurological reflexes: the light reflex and the accommodation reflex. The light reflex refers to the constriction of both

pupils The pupil is a black hole located in the center of the iris of the eye that allows light to strike the retina.Cassin, B. and Solomon, S. (1990) ''Dictionary of Eye Terminology''. Gainesville, Florida: Triad Publishing Company. It appears black ...

that occurs when light is shone into either eye. The accommodation reflex refers to the swelling of the lens of the eye that occurs when one looks at a near object (for example: when reading, the lens adjusts to near vision). The eye's blind spot is a result of the absence of photoreceptors in the area of the retina where the optic nerve leaves the eye.

Clinical significance

Disease

Damage to the optic nerve typically causes permanent and potentially severe loss of

vision Vision, Visions, or The Vision may refer to: Perception Optical perception * Visual perception, the sense of sight * Visual system, the physical mechanism of eyesight * Computer vision, a field dealing with how computers can be made to gain und ...

, as well as an abnormal pupillary reflex, which is important for the diagnosis of nerve damage. The type of

visual field The visual field is the "spatial array of visual sensations available to observation in introspectionist psychological experiments". Or simply, visual field can be defined as the entire area that can be seen when an eye is fixed straight at a point ...

loss will depend on which portions of the optic nerve were damaged. In general, the location of the damage in relation to the optic chiasm (see diagram above) will affect the areas of vision loss. Damage to the optic nerve that is

anterior Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position prov ...

, or in front of the optic chiasm (toward the face) causes loss of vision in the eye on the same side as the damage. Damage at the optic chiasm itself typically causes loss of vision laterally in both visual fields or

bitemporal hemianopsia Bitemporal hemianopsia, is the medical description of a type of partial blindness where vision is missing in the outer half of both the right and left visual field. It is usually associated with lesions of the optic chiasm, the area where the op ...

(see image to the right). Such damage may occur with large

pituitary In vertebrate anatomy, the pituitary gland, or hypophysis, is an endocrine gland, about the size of a chickpea and weighing, on average, in humans. It is a protrusion off the bottom of the hypothalamus at the base of the brain. The hyp ...

tumors, such as

pituitary adenoma Pituitary adenomas are tumors that occur in the pituitary gland. Most pituitary tumors are benign, approximately 35% are invasive and just 0.1% to 0.2% are carcinomas.optic tract In neuroanatomy, the optic tract () is a part of the visual system in the brain. It is a continuation of the optic nerve that relays information from the optic chiasm to the ipsilateral lateral geniculate nucleus (LGN), pretectal nuclei, and supe ...

, which is posterior to, or behind the chiasm, causes loss of the entire visual field from the side opposite the damage, e.g. if the left optic tract were cut, there would be a loss of vision from the entire right visual field. Injury to the optic nerve can be the result of

congenital A birth defect, also known as a congenital disorder, is an abnormal condition that is present at birth regardless of its cause. Birth defects may result in disabilities that may be physical, intellectual, or developmental. The disabilities c ...

or inheritable problems like

Leber's hereditary optic neuropathy Leber's hereditary optic neuropathy (LHON) is a mitochondrially inherited (transmitted from mother to offspring) degeneration of retinal ganglion cells (RGCs) and their axons that leads to an acute or subacute loss of central vision; it predomi ...

glaucoma Glaucoma is a group of eye diseases that result in damage to the optic nerve (or retina) and cause vision loss. The most common type is open-angle (wide angle, chronic simple) glaucoma, in which the drainage angle for fluid within the eye re ...

, trauma,

toxicity Toxicity is the degree to which a chemical substance or a particular mixture of substances can damage an organism. Toxicity can refer to the effect on a whole organism, such as an animal, bacterium, or plant, as well as the effect on a subs ...

inflammation Inflammation (from la, wikt:en:inflammatio#Latin, inflammatio) is part of the complex biological response of body tissues to harmful stimuli, such as pathogens, damaged cells, or Irritation, irritants, and is a protective response involving im ...

ischemia Ischemia or ischaemia is a restriction in blood supply to any tissue, muscle group, or organ of the body, causing a shortage of oxygen that is needed for cellular metabolism (to keep tissue alive). Ischemia is generally caused by problems ...

infection An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable d ...

(very rarely), or compression from

tumor A neoplasm () is a type of abnormal and excessive growth of tissue. The process that occurs to form or produce a neoplasm is called neoplasia. The growth of a neoplasm is uncoordinated with that of the normal surrounding tissue, and persists ...

s or

aneurysms An aneurysm is an outward bulging, likened to a bubble or balloon, caused by a localized, abnormal, weak spot on a blood vessel wall. Aneurysms may be a result of a hereditary condition or an acquired disease. Aneurysms can also be a nidus ( ...

. By far, the three most common injuries to the optic nerve are from glaucoma;

optic neuritis Optic neuritis describes any condition that causes inflammation of the optic nerve; it may be associated with demyelinating diseases, or infectious or inflammatory processes. It is also known as optic papillitis (when the head of the optic nerv ...

, especially in those younger than 50 years of age; and anterior ischemic optic neuropathy, usually in those older than 50.

Glaucoma Glaucoma is a group of eye diseases that result in damage to the optic nerve (or retina) and cause vision loss. The most common type is open-angle (wide angle, chronic simple) glaucoma, in which the drainage angle for fluid within the eye re ...

is a group of diseases involving loss of retinal ganglion cells causing

optic neuropathy Optic neuropathy is damage to the optic nerve from any cause. The optic nerve is a bundle of millions of fibers in the retina that sends visual signals to the brain. Damage and death of these nerve cells, or neurons, leads to characteristic featu ...

in a pattern of

peripheral vision Peripheral vision, or ''indirect vision'', is vision as it occurs outside the point of fixation, i.e. away from the center of gaze or, when viewed at large angles, in (or out of) the "corner of one's eye". The vast majority of the area in the ...

loss, initially sparing central vision. Glaucoma is frequently associated with increased intraocular pressure that damages the optic nerve as it exits the eyeball. The

trabecular meshwork The trabecular meshwork is an area of tissue in the eye located around the base of the cornea, near the ciliary body, and is responsible for draining the aqueous humor from the eye via the anterior chamber (the chamber on the front of the ...

assists the drainage of aqueous humor fluid. The presence of excess aqueous humor, increases IOP, yielding the diagnosis and symptoms of glaucoma.

Optic neuritis Optic neuritis describes any condition that causes inflammation of the optic nerve; it may be associated with demyelinating diseases, or infectious or inflammatory processes. It is also known as optic papillitis (when the head of the optic nerv ...

is inflammation of the optic nerve. It is associated with a number of diseases, the most notable one being multiple sclerosis. The patient will likely experience varying vision loss and eye pain. The condition tends to be episodic. Anterior ischemic optic neuropathy is commonly known as "stroke of the optic nerve" and affects the optic nerve head (where the nerve exits the eyeball). There is usually a sudden loss of blood supply and nutrients to the optic nerve head. Vision loss is typically sudden and most commonly occurs upon waking up in the morning. This condition is most common in diabetic patients 40–70 years old. Other optic nerve problems are less common. Optic nerve hypoplasia is the underdevelopment of the optic nerve resulting in little to no vision in the affected eye. Tumors, especially those of the pituitary gland, can put pressure on the optic nerve causing various forms of visual loss. Similarly, cerebral aneurysms, a swelling of blood vessel(s), can also affect the nerve. Trauma can cause serious injury to the nerve. Direct optic nerve injury can occur from a penetrating injury to the orbit, but the nerve can also be injured by indirect trauma in which severe head impact or movement stretches or even tears the nerve.

Ophthalmologist Ophthalmology ( ) is a surgery, surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders. An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Followin ...

s and

optometrist Optometry is a specialized health care profession that involves examining the eyes and related structures for defects or abnormalities. Optometrists are health care professionals who typically provide comprehensive primary eye care. In the Un ...

s can detect and diagnose some optic nerve diseases but neuro-ophthalmologists are often best suited to diagnose and treat diseases of the optic nerve. The International Foundation for Optic Nerve Diseases (IFOND) sponsors research and provides information on a variety of optic nerve disorders.

Additional images

File:MRI of human eye.jpg, MRI scan of human eye showing optic nerve. File:Gray514.png, The

ophthalmic artery The ophthalmic artery (OA) is an artery of the head. It is the first branch of the internal carotid artery distal to the cavernous sinus. Branches of the ophthalmic artery supply all the structures in the orbit around the eye, as well as some st ...

derived from internal carotid artery and its branches. (optic nerve is yellow) File:Gray682.png, Superficial dissection of brain-stem. Lateral view. File:Gray683.png, Dissection of brain-stem. Lateral view. File:Gray722.svg, Scheme showing central connections of the optic nerves and optic tracts. File:Gray776.png, Nerves of the orbit. Seen from above. File:Gray777.png, Nerves of the orbit, and the ciliary ganglion. Side view. File:Gray880.png, The terminal portion of the optic nerve and its entrance into the eyeball, in horizontal section. File:Three Main Layers of the Eye.png, Structures of the eye labeled File:Three Internal chambers of the Eye.svg, This image shows another labeled view of the structures of the eye File:Slide17ior.JPG, Optic nerve.Deep dissection.Inferior view. File:Slide18ior.JPG, Optic nerve.Deep dissection.Inferior view. File:Optic nerve.jpg, Optic nerve File:Cranial endobasis of a 19-20 weeks foetus.JPG, Optic nerve File:Human brain dura mater (reflections) description.JPG, Human brain dura mater (reflections) File:Slide1dd.JPG, Optic nerve File:Slide5ee.JPG, Optic nerve File:Slide6uu.JPG, Optic nerve File:Slide3PIT.JPG, Cerebrum.Inferior view.Deep dissection File:Slide2HOM.JPG, Cerebral peduncle, optic chasm, cerebral aqueduct. Inferior view. Deep dissection.

References

External links

The optic nerve on MRI
*
IFOND

online case history
– Optic nerve analysis with both scanning laser polarimetry with variable corneal compensation (GDx VCC) and confocal scanning laser ophthalmoscopy (HRT II - Heidelberg Retina Tomograph). Also includes actual fundus photos.

* () * () {{Authority control Visual system Cranial nerves

Structure

Function

Clinical significance

Disease

Additional images

See also

References

External links